On left: Jessica Cary and her 3-year-old daughter. Right: Dionna Ford with her 4-year-old son and 5-month-old daughter. For more from the TIME cover shoot, visit TIME LightBox.

“When you think of breast-feeding, you think of mothers holding their children, which was impossible with some of these older kids,” Schoeller said in an interview on TIME.com. “I liked the idea of having the kids standing up to underline the point that this was an uncommon situation.”

One notable mom who follows Dr. Sears’s advice does not make an appearance in Pickert’s piece. Actress Mayim Bialik, who recently published her memoir “Beyond The Sling”, is a vocal advocate for attachment parenting and recently came under fire for writing about breastfeeding her own 3-year-old. While Bialik ignited big discussions about how much is too much when it comes to motherhood, TIME‘s story is elevating the conversation to a national debate.

There is no doubt that the TIME cover strikes the public as shocking. But, as Pickert points out, the women featured are at one extreme end of this always-controversial discussion. On the other end, she says, are mothers who “endorse the idea of maternal closeness (who doesn’t?) but think Sears is out of his mind.” And the writer goes on:

“A third category includes mothers caught in the middle. These parents try to achieve Sears’ ideal of nursing, baby wearing and co-sleeping but fall short for some reason and find themselves immobilized by their seeming parental inadequacy. They suffer from what two New York City parenting consultants call “posttraumatic Sears disorder.”

Her point, in writing the in-depth profile of Sears, seems to be that there are many parents out there left wondering what’s right, what’s wrong — and most important — what makes sense for their families.